CMS Administrator Marilyn Tavenner

Latest Headlines

Latest Headlines

Politics and fraud prevention make an ugly partnership

In reading the  Wall Street Journal's  investigative piece about how politicians influence Medicare fraud investigations, I walked away with two conflicting reactions. The jaded, cynical side of me was not particularly surprised. But another side of me was at least taken aback, if not slightly shocked

Politicians getting involved in Medicare fraud investigations

Even Medicare fraud investigations are not immune to political pressure, according to an investigative article from the  Wall Street Journal. The newspaper details instances in which governors and state representatives have interjected themselves into fraud investigations, blocked payments, and prepayment reviews.

CMS: Health spending slowdown is history

The slowdown in health spending growth may be near its end, with an improved economy and increased coverage likely to bring faster growth, according to a report from the Centers for Medicare & Medicaid Services   Office of the Actuary published in  Health Affairs.

Pharmacy group comes down on health plans

To provide for a smooth transition from coverage to care at the start of the 2015 plan year, the National Association of Chain Drug Stores urged the federal government to require that health plans provide nightly updates to patient eligibility files. This is just one of many actions the group wants health plans to take to help beneficiaries during the upcoming enrollment process. 

New Medicare rules target Part D fraud and abuse

The Centers for Medicare & Medicaid Services issued a final rule last week to screen drug prescribers more carefully, release more Part D data and get direct access to sponsors' downstream entities. These changes are expected to save more than $1.6 billion for Medicare through 2024.

Medicare final rule to give clinics billion-dollar pay bump

Medicare will increase payments to federally qualified health centers by as much as 32 percent under a new payment system in the Affordable Care Act.

CMS stops taking new provider applications in fraud zones

The Centers for Medicare & Medicaid Services extended last year's moratoria on new enrollments for home healthcare and ground ambulance providers in three fraud-prone cities while unveiling new moratoria on similar providers elsewhere, the agency announced yesterday.